Provider Demographics
NPI:1023335817
Name:SAMI, ERENE NAWAR (MD)
Entity type:Individual
Prefix:
First Name:ERENE
Middle Name:NAWAR
Last Name:SAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E VALENCIA MESA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3816
Mailing Address - Country:US
Mailing Address - Phone:714-446-5640
Mailing Address - Fax:714-446-5625
Practice Address - Street 1:26800 CROWN VALLEY PKWY STE 485
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8025
Practice Address - Country:US
Practice Address - Phone:949-364-5830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA120158207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine